Individual provider Active NPI

Alexandria R Cordeniz

  • Physical Therapist
  • Tulare, CA
National Provider Identifier
1346755071
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT294132 Issued in CA
Practice address
1132 Leland Ave
Tulare, CA 93274-7811
Phone
(559) 684-1200
Fax
(559) 684-0612
NPI assigned
Dec 4, 2017
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT294132 CA Primary

Addresses

Primary practice location

1132 Leland Ave
Tulare, CA 93274-7811

Mailing address

701 W Center Ave
Visalia, CA 93291-6015
Phone (559) 713-6806

Other names 1

  • Alexandria R Fagundes-Fernandes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180111002597 CA Practitioner - Physical Therapist in Private Practice 9133488414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1132 Leland Ave
Tulare, CA 93274-7811
Phone (559) 684-0611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT294132CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Rehabilitation & Orthopedic Physical Therapy Inc Physical Therapist CurrentSince Nov 22, 2017 Accepting new patients
Precision Rehabilitation & Orthopedic Physical Therapy Inc Physical Therapist CurrentSince Nov 22, 2017 Accepting new patients
Precision Rehabilitation & Orthopedic Physical Therapy Past Accepting new patients

Locations

1132 Leland Ave
Tulare, CA 93274
Phone (559) 684-0611

1870 S Central St
Visalia, CA 93277
Phone (559) 636-1200

4930 W Kaweah Ct
Ste 203
Visalia, CA 93277
Phone (559) 713-6806

701 W Center Ave
Visalia, CA 93291

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1346755071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W CENTER AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916015",
            "telephone_number": "559-713-6806",
            "fax_number": "559-713-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 LELAND AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932747811",
            "telephone_number": "559-684-1200",
            "fax_number": "559-684-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDENIZ",
        "first_name": "ALEXANDRIA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "FAGUNDES-FERNANDES",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulare, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.